| Type of Request |
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| Date: |
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| Your Name: |
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| Email: |
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| Phone: |
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| Department: |
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| Position: |
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| Supervisor (Or Fac. Advisor): |
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| Request is Confidential: |
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Description of Request:
Please include:
- Report timeframe, e.g. last year
- Selection criteria, e.g. run by Admin Unit, SID, etc.
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Purpose of Request:
Please include:
- Goals
- Audience / expected users
- Is report for one-time use or will it be run periodically?
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| Output Format: |
Web Page Word Excel Text Pdf
Other |
| Date Needed: |
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